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한국형 출혈열의 사인(死因)분석

The Analysis of Death Causes of 50 Fetal Cases in Korean Hemorrhagic Fever

감염 1973년 5권 1호 p.57 ~ 62
원언식, 전종휘,
소속 상세정보
원언식 (  ) - 가톨릭의과대학 내과학교실
전종휘 (  ) - 가톨릭의과대학 내과학교실

Abstract


Since 1950 the causes of death in Korean Hemorrhagic Fever were changed becouse of the improvement of patient treatment based on its pathophysiology.
From Jan. 1971 to Dec. 1972 we experienced 50 fetal cases and the mortality rate was about 7%. In previous report aproximately 2/3 of death occured at oliguric phase and remainging 1/3 at
hypotensive phase. The major causes of death were pulmonary edema & bleeding, acute renal
failure and shock.
Our data revealed systemic infection (28%), C.N.S. problem (possibly cerebral hemorrhage) (220 , pulmonary edema & bleeding (165vo), and shock(14%) as major causes of death. The deaths of each phase were as the following.
Hypotensive 7(140). Oliguric31(62 on. Diuretic 11(22%). Convalescent 1(2 The major problems in managing patients that was experienced by authors were shock and
pulmonary edema, systemic infection, severe hyperkalemia and cerebral complication, possibly
cerebral hemorrhage.

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